Surgical Assessment Tool for Ethiopia National Policy Monitoring & Evaluation

Development of a Surgical Assessment Tool for National Policy Monitoring & Evaluation in Ethiopia: A Quality Improvement Study

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT04276103

Enrollment

Registered

2020-02-19

Start date

2016-11-01

Completion date

2019-02-23

Last updated

2020-02-19

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Global Anesthesia, Global Surgery, Health Planning, Health System, Public Health

Brief summary

Introduction: A baseline assessment of surgical capacity is recommended as a first-step to inform national policy on surgical system strengthening. In Ethiopia, the World Health Organization's Situational Analysis Tool (WHO SAT) was adapted to assess surgical capacity as part of a national initiative: Saving Lives Through Safe Surgery (SaLTS). This study describes the process of adapting this tool and initial results. Methods: The new tool was used to evaluate fourteen hospitals in the Southern Nations, Nationalities, and People's Region of Ethiopia between February and March 2017. Two analytic methods were employed. To compare this data to international metrics, the WHO Service Availability and Readiness Assessment (SARA) framework was used. To assess congruence with national policy, data was evaluated against Ethiopian SaLTS targets.

Interventions

None listed

Study design

Observational model

ECOLOGIC_OR_COMMUNITY

Time perspective

CROSS_SECTIONAL

Eligibility

Sex/Gender

ALL

Healthy volunteers

Yes

Inclusion criteria

* Fourteen public hospitals (11 primary, 1 general, and 2 specialized) chosen by the regional health bureau * Hospital staff with willingness to participate in study * Hospital staff with availability to participate in study

Exclusion criteria

* Hospital staff which did not volunteer to participate or refused to participate were excluded. * Hospital staff not available at the time of visit * Hospitals not chosen by the regional health bureau

Design outcomes

Primary

Measure	Time frame	Description
General service readiness	Cross-Sectional, assesses availability of this infrastructure within the past year in general	Measured by the number of hospital beds, major operating rooms, surgical/anesthesia/and obstetric providers, and basic infrastructure availability
Basic surgery readiness	Cross-Sectional, assesses availability of tracer items within the past year in general	Readiness for surgical services was assessed based on the presence of tracer items identified by WHO/USAID Service Availability and Readiness Assessment (SARA) as particularly important for providing basic surgical services. The service specific readiness score is defined as the mean availability of service specific tracer items in three domains (staff and training, equipment, and medicines and commodities).
Comprehensive surgery readiness	Cross-Sectional, assesses availability of tracer items within the past year in general	Readiness for surgical services was assessed based on the presence of additional tracer items identified by WHO/USAID Service Availability and Readiness Assessment (SARA) as necessary to provide comprehensive surgical services, beyond those needed for basic surgery.

Outcome results